title: Reconstruction of through-and-through oral cavity defects with folded extended vertical lower trapezius island myocutaneous flap.
abstract: Reconstruction of through-and-through defects of the head and neck is a challenge. In this clinical study we assessed the feasibility of the folded, extended, vertical, lower trapezius island myocutaneous flap (TIMF) for the reconstruction of 16 large through-and-through defects of the oral cavity, which were reconstructed after resection of oral cancer. The skin paddle was 5-7 cm wide and 11-20 cm long. The folded flap provides both inner and outer linings for through-and-through defects, and all the flaps survived. The appearance of the head and neck was acceptable, and oral function was satisfactory. The folded extended vertical lower TIMF is a large, simple, and reliable flap that is preferred for the reconstruction of large through-and-through defects after resection of oral carcinoma.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sun Yet-sen Memorial Hospital, Sun Yat-sen University, China.
authors.forename: Zhao-hui
authors.initials: ZH
authors.lastname: Yang
authors.forename: Da-ming
authors.initials: DM
authors.lastname: Zhang
authors.forename: Wei-liang
authors.initials: WL
authors.lastname: Chen
authors.forename: You-yuan
authors.initials: YY
authors.lastname: Wang
authors.forename: Song
authors.initials: S
authors.lastname: Fan
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003679:Deglutition / Q000502:physiology; D004954:Esthetics; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D009055:Mouth / Q000502:physiology; D009062:Mouth Neoplasms / Q000601:surgery*; D064827:Myocutaneous Flap / Q000098:blood supply / Q000637:transplantation*; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009367:Neoplasm Staging; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods*; D012785:Shoulder Joint / Q000502:physiology; D013060:Speech / Q000502:physiology; D060053:Transplant Donor Site / Q000098:blood supply / Q000601:surgery; D016896:Treatment Outcome
keywords: Cheek defect; Head and neck reconstruction; Oral cavity defect; Pedicle flap; Trapezius flap